MRS. KELLY ANN DEWOLFE (APN) – Nurse Practitioner, NPI 1265525760
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MRS. KELLY ANN DEWOLFE (APN)
1243, West Melrose Street, Wrigleyville, Lake View, Chicago, Lake View Township, Cook County, Illinois, 60657, United States
CHICAGO, IL 606573217
Phone: (414) 467-2056
Type: Mailing
47, South 6th Avenue, La Grange, Lyons Township, Cook County, Illinois, 60525, United States
LA GRANGE, IL 605252499
Phone: (708) 783-6900
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $603.
Total Amount is formed as General ($603) + Research ($0) + Ownership ($0) = $603.
Last reported payment date: 2024-10-15 • Largest payer in this snapshot: MERZ NORTH AMERICA, INC. ($368).
Total Amount
$603
General + Research + Ownership
Payments
13
Total payment records
General Amount
$603
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| MERZ NORTH AMERICA, INC. | $368 |
| Merz North America, Inc. | $99 |
| ABBVIE INC. | $99 |
| Galderma Laboratories, L.P. | $37 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2009-02-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090211000363 | I | Nurse Practitioner | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60657)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | IL | |
| Endocrinology, Internal Medicine | IL | |
| E N D O C R I N O L O G Y | IL | |
| P S Y C H I A T R Y | IL | |
| Family Practice | IL | |
| Internal Medicine | IL | |
| P S Y C H I A T R Y | TN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| Internal Medicine | IL | |
| Internal Medicine | IL |
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